Individual
KEVIN MACINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072-7295
(215) 805-6626
Mailing address
1000 ABBERLY VILLAGE CIR UNIT 113, WEST COLUMBIA, SC 29169-2430
(215) 805-6626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1965
SC
Other
Enumeration date
02/12/2016
Last updated
07/18/2019
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